Yancy Jose Castro

Individual provider Active NPI Behavior Technician · Mamaroneck, NY

NPI 1154032407 · NPPES record last updated Dec 15, 2022

Key facts

NPI
1154032407
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
126 Library LN
Mamaroneck, NY 10543-3608
Phone
(914) 670-1155
NPI assigned
Dec 7, 2022
Sex
Male
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Autism and Related Disorders LLC Past
since Dec 13, 2022
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X Yes

Addresses

Primary practice location

126 Library LN
Mamaroneck, NY 10543-3608

Mailing address

21600 Oxnard St Ste 1800
Woodland Hills, CA 91367-7807
Phone (813) 345-2345

Other providers in Mamaroneck, NY

All providers in Mamaroneck, NY · Behavior Technician in New York

Sources for this page

Verify at the official NPI Registry.